患儿:男,1岁半。出生后,胎粪排出延迟。此后,大便间隔5～8天一次。经常需要灌肠或服泻药后才能大便。曾多次在其它医院住院治疗,并多次诊断为“先天性巨结肠症”。此次发病,又连续7天不解大便,灌肠无效,腹胀剧烈,并伴发热而急诊入院。检查:发育差、精神萎靡。体温38.5℃。脉搏140次/分。脐部膨隆、左侧腹可见巨大肠型。肠鸣活跃并可闻高调肠鸣音。钡剂灌肠造影报告:先天性巨结肠症。 Children: male, 1 year and a half. After birth, meconium excretion delayed. Since then, stool interval of 5 to 8 days time. Often need enemas or laxatives to stool. Has repeatedly hospitalized in other hospitals, and repeatedly diagnosed as “Hirschsprung disease.” The incidence, but also for seven days puzzled stool, enema invalid, severe abdominal distension, and fever and emergency admission. Check: poor development, apathetic. Body temperature 38.5 ℃. Pulse 140 beats / min. Umbilical bulge, left abdomen visible huge intestine. Bowel sounds active and can be heard in high-pitched bowel sounds. Barium enema radiography report: Hirschsprung disease.